[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-111-2-內外科護理學-039","nurse-111-2-medical-surgical-039",111,2,39,"有關補充鐵劑的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"鐵劑不會刺激腸胃道可空腹服用","維生素 E 有助於鐵劑吸收","口服後立刻漱口可減少牙齒染色","鐵劑注射後要按摩以加速吸收","C",null,[],"本題考點為口服與注射鐵劑的正確給藥指導。鐵劑口服後會使牙齒染色,故服用後立刻漱口(液劑可用吸管)可減少染色,選 C 正確。A 錯誤:鐵劑會刺激腸胃道造成噁心、便秘,通常建議餐後服用以減輕不適,而非空腹;B 錯誤:促進鐵劑吸收的是維生素 C(將三價鐵還原為易吸收的二價鐵),不是維生素 E;D 錯誤:鐵劑肌肉注射須採 Z 字型注射法且注射後「不可按摩」,以免鐵劑滲漏至皮下造成組織染色與刺激。","鐵劑吸收與給藥細節是高頻考點。口服鐵最佳吸收於酸性環境,故維生素 C(或柳橙汁)助吸收,而制酸劑、茶、咖啡、鈣、牛奶會抑制吸收。空腹吸收較佳但腸胃刺激大,臨床折衷為餐後服。常見副作用:黑便(正常現象,須與消化道出血區分)、便秘、牙齒染色。注射鐵劑(如 Iron dextran)採深部肌肉 Z-track 法,注射後不按摩、不熱敷,以封住針道防止滲漏染色。液體鐵劑用吸管並漱口是保護牙齒的關鍵指導。",[24,27,29,31],{"term":25,"count":26},"鐵劑給藥",1,{"term":28,"count":26},"維生素 C 助吸收",{"term":30,"count":26},"Z 字型注射法",{"term":32,"count":26},"牙齒染色預防",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-040","林先生在輸血過程中出現頭痛、咳嗽、呼吸困難、心跳加快及血壓升高等情形，最有可能是出現下列那一種輸血反應？",40,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-medical-surgical-056","有關接受肺葉切除手術病人之護理，下列敘述何者正確？",56,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-070","有關胰島素保存之護理指導，下列何者正確？",70,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-038","有關腹膜透析治療之敘述，下列何者正確？",38,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-medical-surgical-042","有關副甲狀腺功能低下之敘述，下列何者正確？",42,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-056","接受胸腔放液穿刺術後的病人，需監測的合併症，不包括下列何者？",106,"2026-09-04",1788510738570]